Healthcare Provider Details

I. General information

NPI: 1710029889
Provider Name (Legal Business Name): OREGON PSYCHIATRIC PARTNERS LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 09/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3203 WILLAMETTE ST
EUGENE OR
97405-3348
US

IV. Provider business mailing address

3203 WILLAMETTE ST
EUGENE OR
97405-3348
US

V. Phone/Fax

Practice location:
  • Phone: 541-726-9912
  • Fax: 541-744-4443
Mailing address:
  • Phone: 541-726-9912
  • Fax: 541-744-4443

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. NICHOLAS W TELEW
Title or Position: PARTNER
Credential: M.D.
Phone: 541-726-9912